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Biomedical subjects

V Gentil

Publications and source records attributed to V Gentil.

48 records · Page 3Linked to original sources

On the dose equivalence of flurazepam and triazolam.

Flurazepam (30 mg), triazolam (0.5 mg) and placebo were given in the morning to 6 normal volunteers in a double-blind crossover study. Subjects were evaluated by a large battery of psychophysiological tests before and 1 and 5 hours after drug administration. Triazolam was significantly more sedative than flurazepam and both were significantly different from placebo. Slope-ratio assay analysis of the results from the present study pooled with those from a similar previous study (C. Gorenstein and V. Gentil, Psychopharmacology, 80: 376-379, 1983) indicated that these doses are non-equivalent. We suggest that dose-equivalence studies based on the present method should be carried out early in the development of new hypnotic drugs.

Adolescent↗

Residual and acute effects of flurazepam and triazolam in normal subjects.

Residual and acute effects of flurazepam and triazolam were studied in two double-blind, crossover, placebo controlled, single-dose experiments. Psychological and physiological effects were determined 10 h after night administration (flurazepam 30 mg and triazolam 0.5 mg), and for 6 h after morning ingestion (flurazepam 15 mg and triazolam 0.25 mg). Both drugs produced similar "hangover" effects, impairing motor performance and increasing sleepiness on the following morning. After morning administration pronounced sedative effects were found with triazolam, while flurazepam effects were mild and hard to distinguish from placebo. The clinical relevance of these findings is discussed, suggesting that these drugs may be conceived as belonging to two different types of hypnotic agents.

Adult↗

Tranylcypromine isomers: single-dose effects in normal human subjects.

Moderately high single doses of (+)- and (-)tranylcypromine were given to normal subjects, in the morning and evening, in two double-blind placebo-controlled experiments. Effects were determined up to 24h later by psychological and physiological measures. No significant differences were found on most measures, but the subjects consistently reported stronger effects after the (+)isomer. Both active drugs induced sedative effects when given in the morning. Following the evening administration, delayed sleep onset was reported after the (-)isomer, while the (+)isomer was associated with more awakenings during the night. The mechanisms responsible for these effects are discussed.

Adult↗

Effects of adrenaline injection on human plasma tryptophan and non-esterified fatty acids.

1. Subcutaneous injection of adrenaline into normal male volunteer subjects caused large increases of plasma non-esterified fatty acids and free tryptophan, but plasma total tryptophan fell considerably. Therefore increases of the percentage of plasma tryptophan in the free state were more marked than absolute increases of free tryptophan. 2. Plasma tyrosine fell slightly and plasma phenylalanine and cortisol were unaffected. 3. It is suggested that catecholamine release could lead to abnormalities of tryptophan disposition in stress and psychiatric illness.

Epinephrine↗

The effects of adrenaline injections on human platelet monoamine oxidase and related measures.

A double-blind, placebo-controlled, cross-over study in ten normal volunteers assessed the effects of the subcutaneous administration of adrenaline on platelet MAO activity, in an attempt to replicate previous findings of increased MAO activity following adrenaline. Platelet counts, cortisol plasma concentrations, and uptake of metaraminol by the platelets were also determined to elucidate possible mechanisms of action. Blood pressure and heart rate were used as indices of the concentration of adrenaline effectively in circulation. MAO activity towards benzylamine was significantly increased by adrenaline. Non-significant increases were noted in the deamination of tyramine and tryptamine, in platelet counts, cortisol concentrations and metaraminol uptake. Increases in MAO activity were also noted early in the experimental sessions suggesting that other experimental variables such as venepuncture may affect platelet MAO activity. Possible mechanisms for this adrenaline effect are discussed and it is suggested that variables such as "arousal" and "stress" must be taken into account when interpreting clinical data on platelet MAO.

Adult↗

The effect of adrenaline on human platelet MAO activity.

Platelet monoamine oxidase (MAO) activity was determined before and after the subcutaneous administration of adrenaline to nine healthy volunteers. Significant increases were found 15 min and 1 hr after adrenaline in the enzymatic activity with benzylamine acting as substrate. Increases were also found in all but two samples in the activity towards tyramine. Such increases may be part of a general response to "stress", and, if so, need to be taken into account when interpreting changes in platelet MAO activity in psychiatric patients.

Benzylamine Oxidase↗

Excessive somnolence.

Excessive somnolence can be quite a incapacitating manifestation, and is frequently neglected by physicians and patients. This article reviews the determinant factors, the evaluation and quantification of diurnal somnolence, and the description and treatment of the main causes of excessive somnolence.

Disorders of Excessive Somnolence↗

[Electroencephalographic study of patients with panic disorders].

Electroencephalographic changes were studied in 27 patients with panic disorder and agoraphobia with panic attacks due to some clinical similarities between panic disorder and temporal lobe epilepsy. The EEG records, obtained with sleep deprivation, photostimulation and hyperventilation showed no abnormalities.

Adult↗